Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $81.28 / $213.80	Facility	26	$52.48	$81.28	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $562.34	Professional		$223.87	$281.84	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $169.82	Professional	26	$52.48	$85.11	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $436.52	Professional	TC	$169.82	$218.78	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $69.18	Professional	26	$39.81	$42.66	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $776.25	Professional		$223.87	$524.81	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $123.03 / $177.83	Professional	26	$53.70	$123.03	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $398.11 / $588.84	Professional	TC	$173.78	$398.11	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $741.31	Professional		$309.03	$512.86	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $112.20 / $169.82	Professional	26	$69.18	$112.20	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $416.87 / $602.56	Professional	TC	$239.88	$416.87	$602.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $616.60	Professional		$263.03	$407.38	$616.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $141.25	Professional	26	$61.66	$95.50	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $309.03 / $457.09	Professional	TC	$204.17	$309.03	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $645.65	Professional		$251.19	$354.81	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $144.54	Professional	26	$53.70	$77.62	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $457.09	Professional	TC	$194.98	$269.15	$457.09
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $40.74 / $40.74	Facility	26	$34.67	$40.74	$40.74